Uninvited Guest in the Left Ventricle: Lipomade.

Cardiac lipoma is a rare primary tumour of the heart, and as diagnostic and treatment methods have improved, more cases have been reported. This situation suggests that the clinical presentation, previously thought to have classic features, may in fact have atypical manifestations. In this case report is presented a case of a 28-year-old female with progressive exertional dyspnea. Trans thoracic and transesophageal echocardiography showed a huge mass in the left ventricle that originated from posteromedial papillary muscle, had a low-density focus with a clear boundary and regular shape, and had no fortunately significant effect on the valves and hemodynamics. After cardiac magnetic resonans, cardiac lipoma was diagnosed. The lipoma excision surgery was offered to the patient, however the patient refused the operation. The most patients diagnosed with cardiac lipoma in the heart chambers manifest no symptoms. Therefore they are diagnosed accidentally. The utilization of multimodality imaging would facilitate the diagnosis. Echocardiography is a suitable modality for subsequent monitoring.